The Future Structure of American Medicine »
Posted By WikiMap 7 months, 3 weeks ago in NewsAn interesting article appeared today in the Opinion section of the Wall Street Journal (May 12, 2009) by Dr Scott Gottlieb that everyone should read. He called it "How ObamaCare will affect Your Doctor.”
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k9kssr7 months, 3 weeks ago
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Excellent article that hits very accurately on some vital issues.
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Home Health care has been under the pay4performance program for the last couple of years. Many agencies have gone out of business. It is extremely difficult to reach the quality of care criteria the government has set for these providers, which in turn effects re-imbursement rates, when you are dealing with SICK people. Many agencies are now "cherry-picking" cases, meaning they will accept certain diagnoses which have the likli-hood of a good prognosis and not others. This leaves hospital discharge planners struggling to refer the sickest patients.
"Administrative" costs i.e. paperwork, has multiplied at a 10 fold rate and most nurses burn out quickly. Acute care hospitals and physicians will face this same increase in paperwork.
Physicians are already difficult to recruit outside of major metropolitan areas because they have sole responsibility for their practice in smaller hospitals. In practice groups, 24 hour call and weekends are rotated between a number of physicians.
Health care will change and I am not sure that it will be to anyone's benefit whether they are insured or not right now. It will certainly not benefit physicians who struggle and sacrifice both financially and personally for years to finish pre-med and med school, much less those who go on to specialize. -
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nostalgia7 months, 3 weeks ago
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Here is the actual article by Dr. Gottlieb
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http://online.wsj.com/article/SB124208383695408513... -
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billcorno7 months, 3 weeks ago
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So, we go on with 40-50 million uninsured Americans, when other industrialized nations have health care systems that work for everybody AND the doctors live well.
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When are we going to get into the 21st century? When are we going to realize that health care should be an affordable right, not just a money-maker for pharmaceuticals and HMOs?-
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MisterX7 months, 3 weeks ago
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Answer: as soon as the greed train comes to a screeching halt. I can remember as far back as the late 80's, medical care went down the tubes once they started treating it all like a Fortune 500 business - increase profit margin, whittle away at programs by all angles, buy out the smaller hospitals to eliminate competition, give the people up top super bonuses - oh yeah, what's our base business? Providing healthcare and saving lives? naaaaaa.
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Mikunited7 months, 3 weeks ago
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Looking at the US medical system from here in the UK,it amazes me how much you spend and how much of that is ear marked as profit to the insurance companies.I think I'm correct in saying the USA spends around 16% of GDP on health,yet 15%-20% of citizens. have no medical insurance and the public health system is awful.In Europe,the average percentage of GDP spent on health is 7-9%.In my country the UK a general practitioner earns between £50,000 to £300,000 annually. The vast majority earn around the £150000 ($230,000) annually.These are doctors who work in the nation health system.We do hear of occasional bad cases,but these are far,far less the 40-50 million people who have no health insurance in the USA.The health insurance lobby in the States is very powerful and continues demonizing socialized medicine.Along with the right wing,they spread lies of a Stalinist one size fits all regime.
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Out of all prosperous Western liberal democracies,the USA is one of the very few,that hasn't a universal socialized medical system,Nearly all European nations,Canada,Australia,New Zealand do have.They all pay less as a percentage of GDP and all have medicine that doesn't discriminate in favor of the wealthy.One pays according to their means and receives what they need.We do pay higher taxes,but when added to health costs we come of better than the States.What does the States get for it's money?The average American can look forward to a life span of a couple of months more than an average Cuban.Yet the States are the richest nation on Earth and Cuba one of the poorest.Of all the wonderful achievements of the USA,There are two shortcomings,that belie it's state as a World leader.One is the death penalty,the other is a lack of a national health system, paid for out of taxation. -
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cleare7 months, 3 weeks ago
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this article is the same old tired bs that advocates of for profit health care have always used to protect their profits.
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it is immoral. it is expensive.
a european style plan will decrease, not increase the amount of regulation. and we can retrain all those medical billers & coders to monitor regulations --- which after all are there to benefit the patients. -
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pokydoke7 months, 3 weeks ago
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I don't get why these so called expert pundits who profess to know why a national health care system won't work use the worst examples. There are many working models out there that only need to be copied.There is no excuse for the US not having a working efficient health care system in place other than the health insurance companies fear of losing profits. I say screw them, again Corporations out for all they can get and the hell with all the citizens.
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